In this case an appalation patient in a health care facility wishes to stop treatment for the stage four cancers. His family insists that he should be treated for the diseases and this brings a conflict between the nurse, family and the patient. This conflict will only be solved when a committee is formed. The committee will consist of the family member’s doctor and the patient. The committee will follow the ethical decision making process which will include:
The Four Principles which will be used provide a general guide and leave considerable room for judgement in specific cases.
Respect for autonomy:
respecting the decision-making capacities of autonomous persons. enabling individuals to make reasoned informed choices.
balancing benefits of treatment against the risks and costs. the healthcare professional should act in a way that benefits the patient.
avoiding causing harm. the healthcare professional should not harm the patient. Most treatment involves some harm, even if minimal, but the harm should not be disproportionate to the benefits of the treatment.
respect for justice takes several forms:
Distribution of a fair share of benefits
Legal justice – doing what the law says
Rights based justice, which deals in the language, and perhaps the rhetoric, of claimed human rights, and hence goes beyond, though it includes, legal rights.